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Modalities applied to measurement of ejection fraction is an emerging field of medical mathematics and subsequent computational applications. The first common measurement method is echocardiography, [7] [8] although cardiac magnetic resonance imaging (MRI), [8] [9] cardiac computed tomography, [8] [9] ventriculography and nuclear medicine (gated SPECT and radionuclide angiography) [8] [10 ...
Doppler echocardiography is a procedure that uses Doppler ultrasonography to examine the heart. [1] An echocardiogram uses high frequency sound waves to create an image of the heart while the use of Doppler technology allows determination of the speed and direction of blood flow by utilizing the Doppler effect .
A transthoracic echocardiogram (TTE) is the most common type of echocardiogram, which is a still or moving image of the internal parts of the heart using ultrasound. In this case, the probe (or ultrasonic transducer ) is placed on the chest or abdomen of the subject to get various views of the heart.
Sonographer doing an echocardiogram of a child Echocardiogram in the parasternal long-axis view, showing a measurement of the heart's left ventricle. Health societies recommend the use of echocardiography for initial diagnosis when a change in the patient's clinical status occurs and when new data from an echocardiogram would result in the physician changing the patient's care. [7]
Age dependent normal values for S', e' and a'. The e'/a' ratio becomes <1 about 60 years of age, which is similar to the E/A ratio of mitral flow. Women has slightly higher S' and e' velocities than men, although the difference disappears with age.
Two dimensional echocardiography can produce images of the left ventricle. The thickness of the left ventricle as visualized on echocardiography correlates with its actual mass. Left ventricular mass can be further estimated based on geometric assumptions of ventricular shape using the measured wall thickness and internal diameter. [7]
The normal transmitral flow profile has two peaks – an E and an A wave. [citation needed] The E peak arises due to early diastolic filling. Most filling (70-85%) of the ventricle occurs during this phase. The A peak arises due to atrial contraction, forcing approximately 15-20% of stroke volume into the ventricle.
Indexing the left atrial volume to body surface area (volume/BSA) is recommended by the American Society of Echocardiography and the European Association of Echocardiography. The values for volume/BSA in the following table are the best validated, and are the same for both men and women.